发布时间：2014-10-20 来源：人大经济论坛

三种压疮危险评估量表对急诊病人压疮预测能力的比较研究 摘 要 目的：了解急诊病人压疮发生的一般情况:确定Braden量表、Braden量表(修订版)及Norton量表用于急诊病人压疮危险评估时的诊断界值;综合比较这三种量表在急诊病人应用的预测效果。 方法：选取2008年8月至H月沈阳市某三级甲等医院的急诊病人作为研究对象。采用方便抽样的方法，对研究期间符合纳入标准的病人进行压疮危险评估和调查，观察期为病人在急诊停留时间。研究者每天在急诊护士交接班时应用Braden量表、Braden量表(修订版)及Norton量表，在急诊病人来诊24小时之内进行压疮危险评估，根据美国国家压疮顾问组使用的压疮分期标准，观察研究对象的皮肤状况并记录病人一般资料、压疮预防和护理措施，直至病人离诊转入病房或死亡数据采用SPSS13.0统计软件进行分析。 结果：在1819例急诊病人中，院内发生99例124处压疮，发生率为5.4%，其中I期压疮57处(45.9%)，11期压疮66处(53.2%)，111期压疮1处(0.8%)。压疮好发部位为骸尾部，共92处;急诊病人压疮发生高峰时间是来诊第24小时、48小时和72小时。 结论：急诊护士不仅要重视急救护理，还应提高急诊病人压疮的预防与护理意识，特别是急诊病人来诊24小时、48小时和72小时期间应进一步加强压疮的预防与护理。 关键词：急诊病人;压疮;危险评估 论文类型：描述性研究 Comparative research of capability on three kinds of pressure ulcer risk assessment scale for emergency patients pressure ulcer prediction  ABSTRACT Objective: to understand the emergency patients of pressure ulcers Braden: determine generally Braden scale, and Norton scale (revised edition) for emergency patients pressure ulcer risk assessment of boundary values; diagnosis Comprehensive comparison of the three kinds of scale in emergency cases of application prediction effect. Methods: August 2008 on a H shenyang three level of first-class hospital emergency patients as the research object. Using convenience sampling method, the study of patients with into standard and pressure ulcer risk assessment for patients in the emergency department, probation for time. Researchers in emergency relief when the nurse daily Braden scale, Braden scale applications (revised edition), and in emergency cases, Norton to dre within 24 hours to pressure ulcer risk assessment, according to the national pressure ulcer tags used pressure ulcer stage of object of study, standard and record the patient skin condition commonly material, pressure ulcers, prevention and care measures from attending to ward until the patient died or by statistics software SPSS13.0 data analysis. Results: in 1819 cases occur in hospital emergency patients 99 cases of 124 for in pressure ulcer, the incidence of 5.4%, stage I pressure ulcer 57 (45.9%), 11 pressure ulcers (66 53.2%), 111 (pressure ulcers (0.8%) 1. Pressure ulcer location for the skeleton, 92; tail, The peak pressure ulcers emergency patients attending the first time is to 24 hours, 48 hours and 72 hours. Conclusion: emergency nurses should not only seriously, still should improve emergency care patients of pressure ulcers prevention and care consciousness, especially for 24 hours dre Ed patients, 48 hours and 72 hours period should further strengthen pressure ulcer prevention and care. Keywords: emergency patients, Pressure ulcer, Risk assessment 目 录 摘 要I ABSTRACTI 1 绪论1 1.1研究背景及意义1 1.2研究目标2 1.3关键词及定义2 1.4文献回顾2 2 研究设计4 2.1研究设计4 2.2研究对象4 2.3研究工具4 2.4研究步骤4 2.5统计分析5 3.结果6 3.1急诊病人压疮发生一般情况(见表l)6 3.2压疮发生部位及分期(见表1)6 3.3压疮发生时间(见图l)6 4.讨论7 5.推论与建议8 5.1推论8 5.2建议8 参考文献9 致谢10